Delta Property Fund Limited

Transcription

1 Delta Property Fund Limited TO ALL SUPPLIERS SEEKING REGISTRATION ON DELTA PROPERTY FUND S DATABASE In order to comply with the policies and procedures set out in the company s Procurement Policy; Procurement developed a supplier database to be used in our procurement process. The purpose of this database is to afford all prospective suppliers or service providers equal opportunity. Preference will be given to suppliers registered on the database, this does not necessarily mean that suppliers with specialised services not registered as yet will be excluded. It is however envisaged that this database will contribute to efficient administration and compliance to laid down in our policies and procedures. Attached is the official registration form to assist in updating or obtaining detailed supplier information for our database. Please complete the form in full and sign as required. Please attach all supporting documents as requested. Delta Property Fund reserves the right to reject any incomplete application form accompanied by insufficient information. Completed forms may be submitted as follows: Delta Property Fund Limited Procurement Office HAND DELIVERY TO: Procurement Office 10 Muswell Road South, Silver Stream Office Park, Block 3 Bryanston POST TO: Postnet Suit 210, Private Bag X 21 Bryanston 2021

2 A. OWNERS/ SHAREHOLDING OF COMPANY Please list all partners, shareholders or members by name, ID number, and position held in the company, % equity owned, gender and HDI status. Shareholder Name Identity Number Position In Company Personal Income Tax Number % Equity Owned Gender M / F HDI Status B. SCHEDULE OF BIDDER S EXPERIENCE The following is a statement of similar work successfully executed by myself / ourselves: Employer, contact person and telephone number. Description of contract Value of work (Rands) Date completed

3 C. BUSINESS REGISTRATION INFORMATION Registered Business Name: Trading Name Business Registration Number: Close Corporation Number: VAT Registration No: Income Tax No: CIDB Registration/Professional registration Number, if any: D. OWNERS/SHAREHOLDERS Name HDI Status ID number Date RSA Woman Black person Youth Disability Citizenship obtained Percentage owned

4 E. BUSINESS ADDRESS Physical Address: Postal Address: Contact Person: Telephone No: Cellphone No: Fax No: Address: F. BANKING INFORMATION Bank Name: Branch: Branch Code Bank Account No: Type of Account :( e.g. cheque): G. PRINCIPAL BUSINESS ACTIVITIES Nature of Business: Types of Goods/Services Offered: Number of Years in Business:

5 H. BUSINESS CLASSIFICATION: (Tick the appropriate classification) Manufacturing, Construction, Consulting, Professional, Specialized Electricity, Gas, Water Business Service Catering, Hospitality, Entertainment Agriculture, Farming, Landscaping Technology, Communication Retail, Allied Services Repairs Maintenance Distributor, Agent Transport, Storage Other: Specify Signed Date Name Position Enterprise name

6 I. CERTIFICATION I, THE UNDERSIGNED (FULL NAME)... CERTIFY THAT THE INFORMATION FURNISHED ON THIS DECLARATION FORM IS TRUE AND CORRECT. I ACCEPT THAT, IN ADDITION TO CANCELLATION OF A CONTRACT, ACTION MAY BE TAKEN AGAINST ME SHOULD THIS DECLARATION PROVE TO BE FALSE.... Signature... Date Position J. RETURNABLE DOCUMENTS All applicants must complete the compliance checklist as confirmation that all the required documentation has been attached. Companies and Intellectual Property Commission documents Valid Tax Clearance Certificate Valid BBBEE Certificate CIDB Grading Relevant Regulatory Bodies Affiliation/Registration Comprehensive Company Profile Registered for VAT (if applicable) V.A.T Certificate ID Copies of the Directors Please note that all documentation submitted must be certified as true copies, except Tax Clearance Certificate which must be a valid original. No application shall be considered unless it is accompanied by sufficient information and the required supporting documentation.

7 FOR OFFICE USE For Official Use Only: Checked By: Date Checked: Signature: Approved By: Date approved: Signature: Application Date: Vendor Number: